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警报疲劳及其对患者安全的影响。

Alarm fatigue and the implications for patient safety.

作者信息

Oliveira Adriana Elisa Carcereri de, Machado Adrielle Barbosa, Santos Edson Duque Dos, Almeida Érika Bicalho de

机构信息

Faculdade de Ciências Médicas e da Saúde de Juiz de Fora. Juiz de Fora, Minas Gerais, Brazil.

出版信息

Rev Bras Enferm. 2018 Nov-Dec;71(6):3035-3040. doi: 10.1590/0034-7167-2017-0481.

DOI:10.1590/0034-7167-2017-0481
PMID:30517409
Abstract

OBJECTIVE

To measure the response time of health professionals before sound alarm activation and the implications for patient safety.

METHOD

This is a quantitative and observational research conducted in an Adult Intensive Care Unit of a teaching hospital. Three researchers conducted non-participant observations for seven hours. Data collection occurred simultaneously in 20 beds during the morning shift. When listening the alarm activation, the researchers turned on the stopwatches and recorded the motive, the response time and the professional conduct. During collection, the unit had 90% of beds occupied and teams were complete.

RESULT

We verified that from the 103 equipment activated, 66.03% of alarms fatigued. Nursing was the professional category that most provided care (31.06%) and the multi-parameter monitor was the device that alarmed the most (66.09%).

CONCLUSION

Results corroborate the absence or delay of the response of teams, suggesting that relevant alarms might have been underestimated, compromising patient safety.

摘要

目的

测量医疗专业人员在声音警报激活前的反应时间及其对患者安全的影响。

方法

这是一项在一家教学医院的成人重症监护病房进行的定量观察性研究。三名研究人员进行了7小时的非参与性观察。早班期间,在20张病床同时进行数据收集。听到警报激活时,研究人员启动秒表并记录动机、反应时间和专业行为。收集期间,该科室床位占用率为90%,团队人员齐全。

结果

我们核实,在103台激活的设备中,66.03%的警报出现疲劳。护理是提供护理最多的专业类别(31.06%),多参数监护仪是警报最多的设备(66.09%)。

结论

结果证实了团队反应的缺失或延迟,表明相关警报可能被低估,危及患者安全。

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